Individual
JUSTIN DAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
31 UNION ST, VERNON, CT 06066-3126
(860) 872-0501
Mailing address
31 UNION ST, VERNON, CT 06066-3126
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
111978
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9548
CT
Other
Enumeration date
02/23/2021
Last updated
03/03/2021
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